Provider Demographics
NPI:1164701819
Name:TAJRISHI, ROKHSAREH ROXANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROKHSAREH
Middle Name:ROXANNE
Last Name:TAJRISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3334 E COAST HWY
Mailing Address - Street 2:SUITE 570
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2328
Mailing Address - Country:US
Mailing Address - Phone:714-903-7767
Mailing Address - Fax:714-903-7801
Practice Address - Street 1:3334 E COAST HWY
Practice Address - Street 2:SUITE 570
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-2328
Practice Address - Country:US
Practice Address - Phone:714-903-7767
Practice Address - Fax:714-903-7801
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA133047207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease